Active NPI
Tracy L Bradshaw, PTA
- Physical Therapy Assistant
- Milford, DE
National Provider Identifier
1881892297
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- JT-0000648
- Practice address
- 329 Mullet Run
Milford, DE 19963-5373 - Phone
- (302) 424-1810
- Fax
- (302) 424-3092
- NPI assigned
- Jul 6, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | JT-0000648 | DE | Primary |
Addresses
Primary practice location
329 Mullet Run
Milford, DE 19963-5373
Mailing address
329 Mullet Run Street
Milford, DE 19963
Phone (302) 424-1810
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| JT-0000648 | DE | MD | Physical Therapy Assistant |
Interoperability endpoints
- tracy.bradshawpta.p1@direct.capefearortho.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1881892297",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "329 MULLET RUN STREET",
"city": "MILFORD",
"state": "DE",
"postal_code": "19963",
"telephone_number": "302-424-1810",
"fax_number": "302-424-3092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "329 MULLET RUN",
"city": "MILFORD",
"state": "DE",
"postal_code": "199635373",
"telephone_number": "302-424-1810",
"fax_number": "302-424-3092"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADSHAW",
"first_name": "TRACY",
"middle_name": "L",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "DE",
"license": "JT-0000648",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milford, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.